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Home My WebLink AboutBLD22995 SFR - BLD Application - 11/2/1988 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUE PERMIT NO. NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER S're �/ru��/e� �C3ox 3� i9// .� =171 4"Z7 a-IS--? DIRECTIONS Ir /� TO JOB SITE ri 1r d in -Snlal G n..f 6ww, o/I No -fa W L 1C>'-'1- d.-�i-,mx d/ PARCEL LEGAL f! NUMBER /o2O/�7s O� 2_ DESCR. 7/7 A,2- S' 3 ,'G SW N MAIL ADDRESS CITY&STATE LICENSE N PAONE CONTRACTOR USE OF BUILDINGCLASS /�CS/dC'7✓G� WORK O✓ NEW ✓ ADDITION ALTERATION REPAIR MOVE REMOVE T DESCRIBE WORK ,Q,w,� 4 22-3e O 2- S `1oate- ./r nCrc�� ✓n� io^ /lle�x� rooT BEDROOMS DECKS CARPORT O NOTICE EY�rI/I✓6 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. /�� GARAGE CONDITIONING. NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. FIREPLACE O DETACHED X ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT ✓ SHORELINE 0 SEASONAL / OWNERS A FIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRAT N LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIRE TS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN Co MANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINI APPROVAL FROM THE BUI DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X QW R DATE /D• 21 X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION YES NO YES NO HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT 70 S D D.O.T. BUILDING PLAN CHECK S 0 d SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION S��a4 �Q� SHORELINE WOODSTOVE //rj,,/ UMBING ' Ir MECHANICAL STATE BUILDING FEE o STATE SURCHARGE 1.15, APPLICATION ACCEPTED BY P ANS C?E ,�BY� APPROVES FOR I ANCE PERMIT VALIDATION BY ��-(A� CASH CK MO TOTAL a�a1 o PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE eve-W Box 73:K 9 9t 342-7 O s<S3 DIRECTIONS TO JOB SITE // sr r f n w ��i1 n e No-Sa o /c/ �u n /'S ne/ .T1jo"eS Woof i OW/ 7b Si 4 Jo .f oA di✓t e, N�E✓ roofs in lei ,Ff LEGAL DESCR. SE Ti'3 `SP/10 S CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS 2,. 00 FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS Z .00 FLOOR/SUSPENDED FURNACE 6.00 BATHTUBS BOILER/COMPRESSOR 6.00 SHOWERS 00 REPAIR/ALTERATION 6.00 WATER HEATERS op REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER AIR HANDLING UNITS 7.50 SINKS A IrC/fE,2/ 2 On HEAT•PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL o TOTAL SPECIAL CONDITIONS: , goo NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. OWNERS AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED THE CONTRACT OR REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OB INING APPROV ROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNE,=�i 9 Ige- ATE X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION APPLICATION ACCEPTED BY PLANS CHECK BY 7 IBY CASH CK MO